Homoeopathic remedy for pigmentation around mouth and eyes

A girl aged 18 has black circles around her eyes and her mouth. Teeth grinding also occurs at night but Cina 200 fails to cure the problems.
Kindly prescribe a homeopathic medicine for her.- S.P. Shanmugam, August 2001

Dr. R.K. Manchanda responds
Cina is not the only drug for pigmentation around mouth and eyes. There are other drugs like Staphysagria, Berberis aquifolium, China, Phosphoric acid and so on. Your patient is also required to be evaluated for the cause of hyperpigmentation. Sometimes it is associated with anaemia. The exact cause needs to be treated; therefore it is advisable to send more details and also get a haemoglobin examination. Meanwhile you may try Berberis Aquifolium in 6 potency twice a day for 15 days, as it is the most frequently used drug in such cases.